Cargando…

Celiac Disease Dietary Adherence on the Rural–Urban Continuum

Poor adherence to a gluten-free diet for those with celiac disease is a well-established risk factor, leading to gastrointestinal symptoms, malabsorption of nutrients, and psychiatric complications. Previous studies have shown that those outside urban areas encounter unique barriers to dietary adher...

Descripción completa

Detalles Bibliográficos
Autores principales: Posterick, Amy, Ayars, Candace L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649991/
https://www.ncbi.nlm.nih.gov/pubmed/37960188
http://dx.doi.org/10.3390/nu15214535
_version_ 1785135676939829248
author Posterick, Amy
Ayars, Candace L.
author_facet Posterick, Amy
Ayars, Candace L.
author_sort Posterick, Amy
collection PubMed
description Poor adherence to a gluten-free diet for those with celiac disease is a well-established risk factor, leading to gastrointestinal symptoms, malabsorption of nutrients, and psychiatric complications. Previous studies have shown that those outside urban areas encounter unique barriers to dietary adherence and are less likely to engage in health management behaviors than those in urban regions. This study aimed to examine the relationship between gluten-free dietary adherence and individual, relationship, and community factors, including the geographic location of residence on the rural–urban continuum, for 253 adults with celiac disease living in the United States. Those with celiac disease residing in urban regions had significantly better dietary adherence than those residing in nonurban areas (p < 0.05). Those living in nonurban communities had, on average, poor enough adherence scores to suggest ongoing intestinal damage from gluten consumption. Geographic location, age, years since diagnosis, and annual income significantly predicted compliance with a gluten-free diet for those with celiac disease, accounting for nearly 20% of the variance. Those living outside urban areas with a lower income, younger age, and more recent diagnosis of celiac disease had the worst dietary adherence, placing them at the most risk for ongoing disease progression and complications.
format Online
Article
Text
id pubmed-10649991
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-106499912023-10-26 Celiac Disease Dietary Adherence on the Rural–Urban Continuum Posterick, Amy Ayars, Candace L. Nutrients Article Poor adherence to a gluten-free diet for those with celiac disease is a well-established risk factor, leading to gastrointestinal symptoms, malabsorption of nutrients, and psychiatric complications. Previous studies have shown that those outside urban areas encounter unique barriers to dietary adherence and are less likely to engage in health management behaviors than those in urban regions. This study aimed to examine the relationship between gluten-free dietary adherence and individual, relationship, and community factors, including the geographic location of residence on the rural–urban continuum, for 253 adults with celiac disease living in the United States. Those with celiac disease residing in urban regions had significantly better dietary adherence than those residing in nonurban areas (p < 0.05). Those living in nonurban communities had, on average, poor enough adherence scores to suggest ongoing intestinal damage from gluten consumption. Geographic location, age, years since diagnosis, and annual income significantly predicted compliance with a gluten-free diet for those with celiac disease, accounting for nearly 20% of the variance. Those living outside urban areas with a lower income, younger age, and more recent diagnosis of celiac disease had the worst dietary adherence, placing them at the most risk for ongoing disease progression and complications. MDPI 2023-10-26 /pmc/articles/PMC10649991/ /pubmed/37960188 http://dx.doi.org/10.3390/nu15214535 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Posterick, Amy
Ayars, Candace L.
Celiac Disease Dietary Adherence on the Rural–Urban Continuum
title Celiac Disease Dietary Adherence on the Rural–Urban Continuum
title_full Celiac Disease Dietary Adherence on the Rural–Urban Continuum
title_fullStr Celiac Disease Dietary Adherence on the Rural–Urban Continuum
title_full_unstemmed Celiac Disease Dietary Adherence on the Rural–Urban Continuum
title_short Celiac Disease Dietary Adherence on the Rural–Urban Continuum
title_sort celiac disease dietary adherence on the rural–urban continuum
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10649991/
https://www.ncbi.nlm.nih.gov/pubmed/37960188
http://dx.doi.org/10.3390/nu15214535
work_keys_str_mv AT posterickamy celiacdiseasedietaryadherenceontheruralurbancontinuum
AT ayarscandacel celiacdiseasedietaryadherenceontheruralurbancontinuum